Rizk-Hildbrand Marianne, Semple Tara, Preisig Martina, Haeberling Isabelle, Smigielski Lukasz, Pauli Dagmar, Walitza Susanne, Kleim Birgit, Berger Gregor E
Department of Child and Adolescent Psychiatry and Psychotherapy, University Hospital of Psychiatry, University of Zurich, 8032 Zurich, Switzerland.
Neuroscience Center Zurich, University of Zurich and the ETH Zurich, 8057 Zurich, Switzerland.
Int J Environ Res Public Health. 2025 May 30;22(6):859. doi: 10.3390/ijerph22060859.
Perceived experiences of violence, trauma, body dissatisfaction, and body shaming emerge as interconnected factors contributing to suicide attempts among adolescents. There is a critical need to improve the understanding and prediction of suicide attempts in this vulnerable population. In this study, a primarily qualitative design was employed, supported by descriptive quantitative elements, such as code frequencies and word clouds, to explore in-depth narrative interviews of adolescents who attempted suicide. Thematic content analysis was utilized to analyze the transcripts of these narrative interviews. The study sample consisted of 22 adolescents (M = 16.98 years; SD = 1.624; 77% males, 19% females, 4% non-binary or transgender). The content analysis revealed two significant body-related risk factors for suicide attempts: experiences of violence or trauma and body dissatisfaction, which were associated with maladaptive coping strategies, including self-harm, substance use, and eating disorders. Acute somatic warning signs such as dissociative states, loss of control, and disconnection from one's body suggested pronounced psychophysiological dysregulation. The findings underscore the body as a battleground, where emotional pain related to bodily experiences and perceptions manifests significantly. Future research should integrate subjective body-related experiences in risk assessments and interventions targeting adolescent suicidal behaviors.
暴力、创伤、身体不满和身体羞辱等感知体验，成为导致青少年自杀未遂的相互关联因素。迫切需要增进对这一脆弱人群自杀未遂情况的理解和预测。在本研究中，采用了以描述性定量元素（如编码频率和词云）为支撑的主要定性设计，以深入探究自杀未遂青少年的叙事访谈。运用主题内容分析法对这些叙事访谈的文字记录进行分析。研究样本包括22名青少年（平均年龄M = 16.98岁；标准差SD = 1.624；77%为男性，19%为女性，4%为非二元性别或跨性别者）。内容分析揭示了自杀未遂的两个与身体相关的重要风险因素：暴力或创伤经历以及身体不满，它们与包括自我伤害、物质使用和饮食失调在内的适应不良应对策略相关。急性躯体警示信号，如解离状态、失控感以及与身体的脱节，表明存在明显的心理生理失调。研究结果强调身体是一个战场，与身体体验和感知相关的情感痛苦在其中显著显现。未来的研究应将与身体相关的主观体验纳入针对青少年自杀行为的风险评估和干预措施中。
